New Tides Residential

NPI #1144812306 in Saco, Maine

Provider Information

NPI Number: 1144812306
Entity Type: Organization
Organization Name: New Tides Residential
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 9, 2021
Last Updated: Feb 9, 2021

Practice Location

Address: 321 NORTH ST UNIT 2
City: Saco
State: Maine
ZIP Code: 04072-1858
Phone: (207) 409-6361

Authorized Official

Name: MS. SHARON D. MOORE
Title: PROGRAM DIRECTOR
Phone: (207) 409-6361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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